Individual
JACOB LYNN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
16710 STONESIDE DR, HOUSTON, TX 77095-6514
(832) 518-7933
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 822-3436
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
88841
TX
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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